Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.68 / $120.61 / $174.76	Professional		$42.68	$120.61	$174.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $95.48 / $194.42	Professional		$25.82	$95.48	$194.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $158.80 / $267.80	Professional		$50.24	$158.80	$267.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $207.20 / $322.11	Professional		$141.84	$207.20	$322.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.36 / $159.16 / $170.48	Professional		$153.36	$159.16	$170.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $32.34 / $178.35	Professional		$31.66	$32.34	$178.35
United Facility/Professional Professional Modifier Low / Median / High Price $120.86 / $170.96 / $303.39	Professional		$120.86	$170.96	$303.39